$1000 Added Dakota Hills Veterinary Clinic Open 4D
Jessie Jaymes Buckles to the Champions of each "D"
WPRA/NWBRA/UBRA Approved - $10,000 added Future Fortunes Money - www.futurefortunesinc.com
$500 added WPRA Side-pot
Saturday September 8th, 2012 - Pennington County Event Center
Pre-entries must be received by August 29th, 2012         $45
Mail to:   22650 151st Avenue Box Elder, SD 57719
After August 29th draw-outs only with a vet release - vet releases only taken until 4pm on Saturday

Contestant__________________________NWBRA #____________WPRA #____________

Address____________________________________________________________

Phone______________________ Email_________________________


Horse's Registered Name(s)
carry overs must be declared prior to the first round of the Futurity/Maturity

1._________________________________ c/o____ 

2._________________________________ c/o____ 

3._________________________________ c/o____ 

4._________________________________ c/o____ 

WPRA DODGE SIDE-POT RULES: $25 entry fee with $500 added from. You must be a WPRA member. You must designate which horse you want to carry into the WPRA side-pot before the barrel race on Saturday.
Horse's Registered Name__________________________________________

I (we) hereby make application to enter the above named horse in the 5-State Breeders Open 4D. I (we) agree that ALL 5-State Breeders Barrel Futurity/4D decisions are to be FINAL. I (we) hereby release the above 5-State Breeders Barrel Futurity, LI Productions, futurity co-sponsors, and the Central States Fairgrounds from any claim or loss to myself, rider, employee, horses and/or equipment. Signature______________________________________________________

***DRESS CODE (hats and long sleeves)***
Late entries close at 4:30pm and will run after the pre-draw - $10 late fee
pre-draw will be posted on www.5Statebreedersfuturity.com
exhibitions will cut off at 5:00pm - can be reserved at lanaireland@hotmail.com

FUTURE FORTUNES HORSES ONLY - one entry blank per Future Fortunes Horse Please

Rider's Name____________________ Owner Name_______________________

Owner Address_________________________________Owner Phone___________________________
ALL FUTURE FORTUNES ENTRIES MUST INCLUDE FRONT AND BACK OF PAPERS
LATE ENTRIES MUST BRING PAPERS TO CHECK-IN
FUTURE FORTUNES CHECK-IN 4:00-4:30pm in warm-up area
(you MUST check in to be eligible for Future Fortunes Bonus Money)